Healthcare Provider Details

I. General information

NPI: 1861201634
Provider Name (Legal Business Name): GOLDEN STEPS ABA MD LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/06/2025
Last Update Date: 01/06/2025
Certification Date: 01/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000 CROMWELL BRIDGE RD
TOWSON MD
21286-3308
US

IV. Provider business mailing address

560 SYLVAN AVE STE 2048
ENGLEWOOD CLIFFS NJ
07632-3165
US

V. Phone/Fax

Practice location:
  • Phone: 410-705-0227
  • Fax:
Mailing address:
  • Phone: 678-894-1116
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number State

VIII. Authorized Official

Name: REBECCA ROSS
Title or Position: CREDENTIALING
Credential:
Phone: 678-894-1116